Kosuyolu Heart J 2010;13(2)
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Bidirectional Cavopulmonary (Glenn) Anastomosis in Pulmonary Atresia with
Intact Ventricular Septum and Right Ventricle Dependent Coronary Circulation

Ahmet Şaşmazel1 MD, Ayşe Baysal2 MD, Ali Fedakar1 MD, Hasan Erdem1 MD,
Ahmet Çalışkan1 MD, Rahmi Zeybek2 MD


1 Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi,

Department of Cardiovascular Surgery, İstanbul, Türkiye

2 Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi,

Department of Anaesthesiology and Reanimation, İstanbul, Türkiye

ABSTRACT

This is a case report of an 8-month-old infant with congenital heart disease including; pulmonary atresia, intact ventricular septum, right ventricular hypoplasia, atrial septal defect, coronary sinusoids (fistulas between right ventricle and left anterior descending artery). The patient had a stent for patent ductus arteriosus at 3 months of age and after 4 months a bidirectional Glenn shunt operation was performed with successful haemodynamics postoperatively.

Key Words: Pulmonary atresia, intact ventricular septum, right ventricular dependent coronary circulation

Ventriküler Septumu İntakt Pulmoner Atrezili Olguda Sağ Ventriküle Bağımlı
Koroner Sirkülasyonda Bidireksiyonel Kavopulmoner (Glenn) Şant Ameliyatı

Bidirectional Cavopulmonary (Glenn) Anastomosis in Pulmonary Atresia with
Intact Ventricular Septum and Right Ventricle Dependent Coronary Circulation

Ahmet Şaşmazel1 MD, Ayşe Baysal2 MD, Ali Fedakar1 MD, Hasan Erdem1 MD,
Ahmet Çalışkan1 MD, Rahmi Zeybek2 MD


1 Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi,

Department of Cardiovascular Surgery, İstanbul, Türkiye

2 Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi,

Department of Anaesthesiology and Reanimation, İstanbul, Türkiye

ÖZET

8 aylık sağ ventrikül hipoplazili, pulmoner atrezili, intak ventriküler septumlu, koroner sinosoidlerin sol anterior desenden arteri beslediği olguda patent duktus arteriozusun 3 aylık iken stent ile açılmasından 4 ay sonra başarılı bidireksiyonel kavapulmoner (Glenn) şant ameliyatı, başarılı hemodinamik sonuçlarla yapıldı.

Anahtar Kelimeler: Pulmoner atrezi, intak ventriküler septum, sağ ventriküle bağımlı koroner sirkülasyon

ABSTRACT

This is a case report of an 8-month-old infant with congenital heart disease including; pulmonary atresia, intact ventricular septum, right ventricular hypoplasia, atrial septal defect, coronary sinusoids (fistulas between right ventricle and left anterior descending artery). The patient had a stent for patent ductus arteriosus at 3 months of age and after 4 months a bidirectional Glenn shunt operation was performed with successful haemodynamics postoperatively.

Key Words: Pulmonary atresia, intact ventricular septum, right ventricular dependent coronary circulation

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